Makerere University Lung Institute Boards Inaugurated The Vice Chancellor, Makerere University Professor John Ddumba-Ssentamu has inaugurated the boards of Makerere University Lung Institute (MULI). The main aim of the MULI is to stimulate high quality lung health research, training and clinical care programmes within the university in order to improve lung health of Ugandans and beyond. The MULI was established under the auspices of the Lung Consortium International. To support the smooth running of the MULI activities; two boards were established; 1) the Board of Governors and Trustees with the following membership: 1. Prof. Charles Ibingira- Principal Makerere University College of Health Sciences as Chair 2. Prof. Thys van der Molen- University of Groningen, The Netherlands, Co-Chair 3. Dr. BB Byarugaba – Executive Director Mulago Hospital 4. Prof Nelson Sewankambo- Professor of Medicine, Makerere University 5. Dr. Francis Adatu, Ministry of Health Uganda 6. Dr. Jacinto Amandua -Commissioner clinical services 2. Institute Technical Board with the following membership 1. Prof Isaac Okullo- Deputy Principal Makerere University College of Health Sciences - Research and Innovation committee as Chair 2. Dr. Frederik van Gemert- University of Groningen -Education and training committee & co-Chair 3. Dr. Josephine Kasolo- Head of Physiology MakCHS- Education and training committee 4. Prof Moses Joloba- Dean School of Biomedical Sciences MakCHSResearch and Innovation committee 5. Dr. Alphonse Okwera – Mulago Hospital -Research and Innovation committee 6. Dr. Frank Mugabe Program Manager TB, MoH- Education and training committee 7. Dr. William Worodria-Mulago Hospital - Senior Consultant PhysicianClinical services committee 8. Dr. Anna Nakanwagi – Executive Director Union Uganda- Education and training committee 9. Dr. Abel Nkolo- WHO National Professional Officer TB - Research and Innovation committee 10. Dr. Fred Nakwagala- Mulago Hospital- Clinical services committee 11. Dr. Okot Nwang –President UTS- Clinical Services 12. Dr. Simon Kasasa- MakCHS- Research and Innovation committee 13. Dr. Achilles Katamba- MakCHS- Research and Innovation committee 14. Dr. committee Rebecca Nantanda- Pediatrics- Clinical services Dr. Bruce Kirega was appointed the Institute Director and Dr. Rupert Jones of the University of Plymouth, UK as Co-Director. Speaking at the inauguration ceremony, Prof. John Ddumba-Ssentamu thanked the partners behind the establishment of the Institute, saying that their efforts contribute towards supporting the University perform its function better. Her thanked the board members for accepting the responsibility and urged them to ensure that they fulfill their mandate. On behalf of University management, he pledged to work hard to make sure that the Institute is successful. He therefore urged all stakeholders, with the leadership of the College of Health Sciences to mobilise resources for acquisition of space for the Institute. The Principal, College of Health Sciences, Prof. Charles Ibingira said that apart from malaria, other killers in Uganda are respiratory tract diseases. He said establishment of the Lung Institute is therefore a significant occurrence in the life of the College of Health Sciences. He said the Institute will work hard to counter these and reduce on mortality especially of children. He said by fulfilling its mandate, the Institute will be fulfilling a core function of the University. Professor Charles Ibingira speaking at the ceremony In a presentation on ‘Chronic Lung Diseases in Sub Saharan Africa’, Prof. Frederik van Gemert said that 2 out of 3 global deaths are attributable to NCDs; 4 out of 5 are in lowand middle-income countries (LMICs). He said matters are complicated by the fact that in LMICs “people tend to develop NCDs at an early age, suffer longer (often with preventable complications) and die sooner than those in high income countries”. He said in Uganda, chronic diseases include diabetes, hypertension, Chronic Obstructive Pulmonary Disease (COPD), epilepsy and HIV infection with the total disease burden of NCDs at 50%. Singling out COPD in reference to a survey that was done in Masindi District, he shared that typically a person with COPD doesn’t have a diagnosis; accepts symptoms and limitations as part of life; has no idea about risk factors; has no medication; is often stigmatised and has a low trust in health centres. He singled out the heavy reliance on use of biomass for cooking as a key source of COPD. Source of COPD: A typical biomass kitchen in a poor rural household Prof. Frederik van Gemert said the future lies in increasing public and policymaker awareness about respitatory diseases and treatment challenges. Presenting on the ‘Role of Research Institutes in Disease Epidemic Responses’, Prof. Nelson Sewankambo mentioned the double burden of infectious diseases and NCDs yet countries like Uganda lack enough resources to counter them, including in research power. He added that poor countries like Uganda have the weakest public health infrastruture ariund the world. He mentioned the importance of researchers working with communitiesd to ensure that interventions put in place are acceptable at that level. He urged researchers, practitioners, regulators and communities to form a more perfect relationship for the realisation of suhc interventions. Professor Sewankambo demonstrates a point Using the examples of Uganda Cancer Institute and Infectious Diseases Institute, in terms of the sustainability of the Lung Institute, he noted that if it is taken forward in a proactive manner, it can grow from a very humble idea to a large structure. On Establishing and Running academic Institutes, Prof Thys Van der Molen of the Groningen Research Institute for Asthma and COPD, noted that setting up multidisciplinary teams is a key element in conducting research that addresses the country’s development needs. He also pointed out that such teams can support and help each other quite ably. He emphasised the importance of structures that can enable people to see each other and get to know what others do. He also noted the importance of using an integrative approach for the translation of research in basic sciences and inclusion of primary health care where most of the patients are managed. He concluded that the societal relevance of the institute can be assessed through communication with the general public, communication with patients and families as well as improved patient outcomes. Professor Thys The Institute Director, Dr.Bruce Kirenga noted that despite the increasing burden of NCDs and communicable lung diseases, there is still national lack of interest in some key issues. He noted that in the recently concluded national NCD survey, asthma was not included in the questionnaire. He said lung disease presents a major threat to good health worldwide. He said despite the high burden, there are few health care providers in countries like Uganda with one physician for every 24,000 people as compared to countries like The Netherlands with one physician for every 320 people. Dr. Kirenga pointed out the the ubiquitous risk factors like outdoor air pollution that make it challenging for most people to realise their real danger due to their non-tangible nature. He said the aim of the MULI is to improve the lung health of people in Uganda and beyond through awareness creation, reduction of exposure to risk factors, provision of cost effective and efficacious diagnostic and treatment interventions; and training high caliber community oriented lung health care professionals. Some of the members of the board of governors and trustees pose for a group photo with the VC after inauguration Some of the members of the technical board after inauguration
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